Search found 12 matches
- Wed May 18, 2011 11:02 am
- Forum: CPAP and Sleep Apnea Message Board
- Topic: A question of semantics: Why does the patient fail CPAP?
- Replies: 36
- Views: 5594
- Wed May 18, 2011 9:51 am
- Forum: CPAP and Sleep Apnea Message Board
- Topic: A question of semantics: Why does the patient fail CPAP?
- Replies: 36
- Views: 5594
Re: A question of semantics: Why does the patient fail CPAP?
The use of the word fail doesn't assign blame in either Medicare or private/commercial insurances. It is used to indicate only that the treatment has been trialed and is ineffective. Most insurance companies don't really care WHY the treatment failed - only that the least expensive method of treatme...
- Thu Mar 31, 2011 4:36 pm
- Forum: CPAP and Sleep Apnea Message Board
- Topic: Board Certification
- Replies: 5
- Views: 1631
Re: Board Certification
Every 7 years my husband starts his board certifications over again. He's board certified in Internal Medicine, Pulmonary Medicine and Critical Care Medicine. They all term out at 10 years, but at different intervals. He's board eligible for Hyperbaric Medicine, but I'm not sure he'll take those boa...
- Fri Mar 18, 2011 3:48 pm
- Forum: CPAP and Sleep Apnea Message Board
- Topic: Remzzzs facial mask and Insurance/Medicare
- Replies: 2
- Views: 1457
Re: Remzzzs facial mask and Insurance/Medicare
Getting DME items coded is a pretty daunting process. They have to go through PDAC at Noridian Administrative Services. They have the CMS contract to do coding for Medicare. It's http://www.dmepdac.com. There's a link on the front page of PDAC that goes to the product review application process. For...
- Thu Mar 17, 2011 6:52 pm
- Forum: CPAP and Sleep Apnea Message Board
- Topic: Leaky Gut & Apnea Connection ?
- Replies: 1
- Views: 1918
Re: Leaky Gut & Apnea Connection ?
Here's an article on "protein losing enteropathy": http://emedicine.medscape.com/article/182565-overview
Haven't found anything that relates apnea to it, yet.
Haven't found anything that relates apnea to it, yet.
- Mon Mar 07, 2011 5:52 am
- Forum: CPAP and Sleep Apnea Message Board
- Topic: CPAP POLL
- Replies: 44
- Views: 10364
Re: CPAP POLL
I said "great". I wish I had listened to dh when he said I needed a sleep study. I no longer get up to go the the bathroom 3 times a night; don't wake up with headaches, don't fight to stay awake during the day and no longer have sore joints. I wish I had listened to him sooner and wish he had gone ...
- Thu Mar 03, 2011 5:49 am
- Forum: CPAP and Sleep Apnea Message Board
- Topic: Wireless modem
- Replies: 11
- Views: 4244
Re: Wireless modem
The modem didn't replace the SD card. I can still remove it and put it in my laptop and see all my stats. The DME company won't be doing any changes on my machine. The doc has access to the account and will do any changes needed - not the DME company. I just think it's cool that I can email my doc a...
- Wed Mar 02, 2011 7:01 pm
- Forum: CPAP and Sleep Apnea Message Board
- Topic: Wireless modem
- Replies: 11
- Views: 4244
Re: Wireless modem
Why only needed for the first 30 days? Wouldn't it be useful for the doc to make changes past the initial 30 days?Bobby269 wrote:Yes. For the first 30 days.Then it was not need any longer,
- Wed Mar 02, 2011 6:09 pm
- Forum: CPAP and Sleep Apnea Message Board
- Topic: Does Medicare pay for repairs to 4yr old machines ?
- Replies: 13
- Views: 9402
Re: Does Medicare pay for repairs to 4yr old machines ?
Medicare will pay for repairs - labor and parts as long as they are necessary for the item to function. If the company doing the repairs will not bill Medicare, you can submit your claim to your Region or Zone carrier. Repairs are billed as K0739, replacement parts as E1399. If you submit the claim ...
- Wed Mar 02, 2011 5:59 pm
- Forum: CPAP and Sleep Apnea Message Board
- Topic: Wireless modem
- Replies: 11
- Views: 4244
Wireless modem
My DME guy came out tonight and attached a wireless modem to my machine. Now my doc can see what's on my machine just by logging onto an account and can make changes to it if needed. And I don't have to send in my data card to the DME company to show compliance. I lurve technology! Anyone else have ...
- Tue Mar 01, 2011 3:21 pm
- Forum: CPAP and Sleep Apnea Message Board
- Topic: Medicare coverage for repeat sleep study
- Replies: 2
- Views: 5830
Re: Medicare coverage for repeat sleep study
Repeat testing is covered by Medicare and there are no "utilization* barriers. However, your Zone or Region may have an internal utilization limit that ends up kicking a claim out for review. As long as your physician and Sleep Lab have the required documentation, there shouldn't be a problem. Here'...
- Mon Feb 28, 2011 5:51 am
- Forum: CPAP and Sleep Apnea Message Board
- Topic: Why?
- Replies: 8
- Views: 1446
Re: Why?
This has started happening to me too! My mask worked w/out leaks the first week and then *poof*. Last night I just tied a bandana around my head and the mask so I could get some sleep!